ATLANTA FAMILY PHYSICIANS PC – Clinic/Center, NPI 1194914135

ATLANTA FAMILY PHYSICIANS PC is a healthcare provider. based in Decatur, Georgia. specializing in Clinic/Center. The organization holds a License No. 045842 (GA). The NPI Number for ATLANTA FAMILY PHYSICIANS PC is 1194914135

Main info

Organization
Name
ATLANTA FAMILY PHYSICIANS PC
NPI
1194914135
Phone
(404) 968-8269
Address
3424 FLAT SHOALS RD
Authorized Official
DR. AHMAD K JINGO PROVIDER M.D.
Enumeration Date
16 October 2007
Last Update Date
11 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for ATLANTA FAMILY PHYSICIANS PC

  • 3424 FLAT SHOALS RD

    SUITE A

    DECATUR, GA 300346525

    Phone: (404) 968-8269

    Fax: (404) 968-8274

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (986 days ago).

Enrollment records

1

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090320000035OClinic/Group PracticeGA2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30034)

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Reviews

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Frequently asked questions

Can I cross-check ATLANTA FAMILY PHYSICIANS PC using NPI 1194914135?
NPI 1194914135 belongs to ATLANTA FAMILY PHYSICIANS PC; compare other details if you need extra assurance.
Is there an active status for ATLANTA FAMILY PHYSICIANS PC?
For scheduling context, ATLANTA FAMILY PHYSICIANS PC is shown as active in the registry.
How would a patient describe ATLANTA FAMILY PHYSICIANS PC's focus?
For ATLANTA FAMILY PHYSICIANS PC, the primary taxonomy reads as Clinic/Center. Clinical services aligned with this taxonomy classification.
Is ATLANTA FAMILY PHYSICIANS PC located near Decatur?
ATLANTA FAMILY PHYSICIANS PC currently maps to Decatur, Georgia in this extract.
Can I trust this NPI listing for ATLANTA FAMILY PHYSICIANS PC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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